Severe Cystic Acne Vulgaris
Allergy Anjana Mohan•Gender: Female•Age: 22 years (Adult)• Chronicity: 3 years
Presenting Complaints & History
- Painful, deep-seated red nodules and cysts on cheeks and jawline
- Oily facial skin and clogged pores
- Severe post-inflammatory hyperpigmentation and scarring
- Social anxiety and depression
Clinical Assessment
A 22-year-old college student from Vatanappally presenting with severe cystic acne for 3 years. Triggered by hormonal imbalances and stressful academic schedules. Previously treated with oral antibiotics, benzoyl peroxide, and retinoids, which caused skin redness and flaking.
Diagnostic Investigations: Hormonal profile showing mild elevation in Free Testosterone; ultrasound pelvis normal.
Homeopathic Therapeutics & Management
Hepar Sulphur was selected for painful cystic lesions prone to suppuration, while Pulsatilla addressed oily skin and underlying hormonal imbalance.
Selected Constitutional Remedies: Hepar Sulphur and Pulsatilla
Lifestyle & Nutritional Support
Wash face with mild herbal cleanser twice daily; avoid dairy, sugar, and oily foods; drink 3 liters of water daily.
Clinical Outcome
Follow-up Period: 9 months- Acne pain and inflammation reduced within 3 weeks
- Cysts dried up and stopped recurring by Month 3
- Post-inflammatory marks faded by 80% at Month 6
- Clear facial skin and restored social confidence at 9-month follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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